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Senior QNXT Benefit Architect Engagement Lead to create the high level QNXT Configuration global design and product approach, and will supply a QNXT Configuration Architect to complete the detailed benefit design. will also provide one Medicaid SMEs to oversee the creation of Florida Medicaid benefit grids for pending Florida Medicaid benefits for MMA+, HIV Aids, Serious Mental Illness and Long-term care lines of business. High level configuration design will include (as applicable) carriers, programs, benefits plans, organization policies, enrollment, service groups, contracts, providers, tiered networks, configuration rules, and Master Reference Data Tables (MRDT).
Claims configuration resource - experience with Claims Configuration, Provider configuration, Prior Authorization Resource should have 8+ Years of experienceResource should have good communications skills
QNXT Developer